Teacher's name _________________________________
Your child's teacher asked for a survey of parents to make the class the best it can be.
Please circle the following responses that describe your experience with the teacher. 
No individual parents will be identified with these survey forms. Thank you for helping!

        Did you ask the teacher for:          Did the teacher give you:
1. An overview of class content & goals? Yes / No                 Yes / No
2. Description of student's progress?    Yes / No                 Yes / No 
3. Ideas for home support of learning?   Yes / No                 Yes / No 

For each of the following, circle the number that best describes your opinion:          Some
                                                                                     Yes  what   No 
4. Did your child know what was expected in this class?                                          5  4  3  2  1 
5. Was the classroom work the right difficulty for your child?                                   5  4  3  2  1 
6. Did the teacher treat your child with respect, care, and knowledge of child's needs?          5  4  3  2  1
7. Were you satisfied with your child's overall school experience as provided by this teacher?   5  4  3  2  1

Do you have any comments for the teacher?:


Here are some references on this form:
Peterson, K.D. (1995).  Parent surveys.  in Teacher evaluation:  A
     comprehensive guide to new directions and practices.  Thousand Oaks, CA:
     Corwin Press.    Book
Peterson, K.D. (1989).  Parent surveys for school teacher evaluation.  Journal
     of Personnel Evaluation in Education, 2 (3), 239-249.